Patient Access Representative - FT, Day (7A-3:30P) - Center City ED

Jefferson Health Plans•Philadelphia, PA

5d•Onsite

About The Position

The Patient Access Representative provides a positive experience for patients and families while registering patients in the Emergency Department and outpatient settings. The role requires strong communication and customer service skills, accurate patient identification, and complete demographic and insurance information gathering. The representative may identify uninsured patients for Medical Assistance or Charity Care evaluation, retrieve orders, confirm medical necessity, answer phones for outpatient visits, gather workers’ compensation or auto insurance details, collect patient out-of-pocket liability, verify insurance, and confirm that required referrals and authorizations are on file. The position rotates among Patient Access service areas, including Outpatient Registration and the Emergency Department, and completes all activities according to departmental and institutional protocols and regulatory and compliance requirements. The schedule is 7:00 a.m.–3:30 p.m. on a rotating two-week schedule: Week 1 is Monday, Tuesday, Wednesday, Friday, and Saturday; Week 2 is Sunday, Monday, Wednesday, Thursday, and Friday.

Requirements

High school diploma or GED.
For Emergency Department work, at least 3 years of customer service experience in a hospital, physician practice, or other related healthcare environment. Current Jefferson Seamless Access Representatives with at least 1 year of experience will be considered to meet this requirement.
Proficiency with computers and Microsoft Office.
Familiarity with healthcare EHR applications such as EPIC or Cerner.
Strong verbal and written communication and customer service skills.
Meticulous attention to detail.

Nice To Haves

Associate degree in healthcare or business administration preferred.
Prior Emergency Department registration experience preferred.
Knowledge of medical terminology and/or third-party insurance coverage, including managed care plans.

Responsibilities

Interact with co-workers, visitors, and other staff consistent with Jefferson’s values.
Gather accurate demographic information to identify existing Jefferson patients or determine when a new medical record number is needed.
Request and scan photo identification and insurance cards.
Record complete and accurate demographic and insurance information.
Enter orders and confirm medical necessity for outpatient visits when appropriate.
Interview Medicare patients to accurately complete the Medicare Secondary Payer questionnaire.
Use RTE (Real Time Eligibility), Phreesia, or payer websites to verify insurance coverage, benefits, and patient out-of-pocket liability.
Ensure required referrals and authorizations are on file.
Identify uninsured patients for referral to Medical Assistance or Charity Care evaluation.
Gather workers’ compensation or auto insurance information from accident patients.
Communicate and collect patients’ out-of-pocket liability at the time of service.
Retrieve orders and answer phones for outpatient visits.
Complete activities in accordance with departmental and institutional protocols and regulatory and compliance requirements.
Achieve individual and team performance metrics.
Rotate among Patient Access points of service, including Outpatient Registration and the Emergency Department.

Benefits

Medical insurance, including prescription coverage
Supplemental insurance
Dental insurance
Vision insurance
Life and AD&D insurance
Short- and long-term disability
Flexible spending accounts
Retirement plans
Tuition assistance
Voluntary benefits, including access to group insurance rates and discounts
Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
Medical insurance, including prescription coverage, is available to all colleagues, including those working less than part-time